Effective pain management in older patients

Larsen, Pamala D.

doi:10.1016/s0001-2092(06)62184-4

Cited by 9 publications

(3 citation statements)

References 16 publications

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“…Some staff have experienced the use of pain-assessment tools in the acute setting and would like to see them put into practice within the care home. Those who have studied staff perceptions in care home settings do support the concept that the staff are keen to improve the situation, as found within the current study, but often time was a limiting factor (23,36,37) and others suggested that education within the care home setting was poor for all levels of staff.…”

Section: Doing Moresupporting

confidence: 60%

Talking to older people in care homes: Perceptions of their pain and their preferred management strategies. Results of a pilot study

Schofield¹

2006

International Journal on Disability and Human Development

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This paper describes a qualitative study that was conducted within the care home setting to determine the pain experiences of residents, their preferred strategies, and the staff attitudes and understanding about pain. An exploratory cross sectional study within six care homes within one district was conducted using several methods of data collection. The residents and staff were interviewed and a questionnaire given to a random sample of staff. Several key themes were identified by residents, including a reluctance to report pain, acceptance that pain is normal and low expectations of help from medical interventions, fear of chemical or pharmacological interventions, age-related perceptions of pain, and lack of awareness of potential pain relieving strategies. Staff interviews highlighted that they wanted to know if the residents were in pain, wanting to do more, and an interest in using complementary therapies. Recommendations are made for further research in this area.

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Section: Doing Moresupporting

confidence: 60%

Talking to older people in care homes: Perceptions of their pain and their preferred management strategies. Results of a pilot study

Schofield¹

2006

International Journal on Disability and Human Development

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“…How they are handling the pain may be perceived as preferable to the side effects and costs of treatments (Ward et al, 1993). Communication barriers result from beliefs that nurses are too busy to listen or to help (Yates, Dewar, & Fentiman, 1994), that talking about pain will label people as "complainers" (Lin, 2000), and that being stoic is preferable to worrying others about their pain (Larsen, 2000;Martin, 1998;Ruzicka, 1998).…”

Section: Pain Management Barriersmentioning

confidence: 99%

Barriers to Managing Chronic Pain of Older Adults with Arthritis

Davis¹,

Hiemenz

White

2002

J of Nursing Scholarship

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“…Small doses of pain medications should be given at regular intervals, with additional doses given for breakthrough pain 19 . Individualize opioid doses by starting slow and titrating up based on the patient's response and any side effects noted 20 . Meperidine HCl, propoxyphene HCl, and pentazocine all should be avoided in older adults because they can impair renal function and increase the risk of delirium 21…”

Section: Case Studymentioning

confidence: 99%

A case study of postoperative delirium

Wendel

2002

AORN Journal

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Quality health care is associated with the absence of negative outcomes in patients. Institutions realize that quality cannot be assured but it can be assessed and methods can be developed to improve patient care. Many health care institutions, therefore, have begun the conceptual transition from a quality assurance model to principles of continuous quality improvement (CQI). This article describes a CQI project that was developed to enhance infection control standards in OR settings. The project involved three phases: development of a survey tool, implementation of an environmental assessment and monitoring model, and transfer of the model to OR staff members. Five months after implementation of the model, the chi‐square test revealed there was a significant improvement in compliance (x2 = 5.0, P <.03). After 22 months of using the model, compliance to infection control standards remains high and OR staff members have taken ownership of the model by incorporating it into their departmental CQI process. AORN J 62 (Oct 1995) 595–602.

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Effective pain management in older patients

Cited by 9 publications

References 16 publications

Talking to older people in care homes: Perceptions of their pain and their preferred management strategies. Results of a pilot study

Talking to older people in care homes: Perceptions of their pain and their preferred management strategies. Results of a pilot study

Barriers to Managing Chronic Pain of Older Adults with Arthritis

A case study of postoperative delirium

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